National Provider Identifier
Glidedowan LLC
Glidedowan LLC is listed in the NPPES registry with a primary specialty of Home Health Agency in Rochester, NY and a listed phone number of (585) 454-1776.
Profile Overview
- NPI
- 1487033890
- Provider Type
- Organization
- Primary Specialty
- Home Health Agency
- Enumeration Date
- May 19, 2015
- Last Updated
- June 26, 2019
Practice Location
- 742 South Clinton Avenue
- Rochester, NY 14620
Phone: (585) 454-1776
Specialties
- Home Health Agency (251E00000X)
Full Record
- NPI
- 1487033890
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Glidedowan LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 742 South Clinton Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 454-1776
- Mailing Fax
- (585) 454-4266
- Practice Street Address
- 742 South Clinton Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 454-1776
- Practice Fax
- (585) 454-4266
- Enumeration Date
- May 19, 2015
- Last Updated
- June 26, 2019
- Authorized Official Last Name
- Hanna
- Authorized Official First Name
- Thomas
- Authorized Official Middle Name
- A
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 454-1776
- Organization Subpart
- Yes
- Parent Organization Name
- GLIDEDOWAN, LLC
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Name Suffix Text
- Jr.
- Taxonomies
- Home Health Agency (251E00000X)
- Other Identifiers
- 04160909 (NY)